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Individual

DESIRAE LEMMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1102 A1A N STE 104, PONTE VEDRA BEACH, FL 32082-4098
(904) 273-6533
(904) 273-6532
Mailing address
341 EAGLE ROCK DR, PONTE VEDRA, FL 32081-8392
(330) 888-2569

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11002960
FL

Other

Enumeration date
08/01/2019
Last updated
08/01/2019
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